The Digital Backbone of Healthcare Transactions
A claims switching platform that allows medical service providers to send real-time electronic claims to medical funders, using a biometric fingerprint reader for member verification and claims signing in real time.
Health Service Provider contract form (PDF). Complete it and return it to us to get connected to the switch.
At a Glance
- Live at national scale since 2013
- 3,000+ healthcare providers connected
- 18+ funders on one network
- 1.5 million beneficiaries reachable
Every patient interaction begins with a simple question: who is this patient, and are they entitled to receive care?
For years, healthcare providers relied on membership cards, manual verification, phone calls and paperwork to validate medical aid benefits before treatment could begin. The process was slow, prone to error, and created opportunities for fraud, duplicate claims and administrative inefficiencies.
As healthcare systems grow, these challenges become even more significant. Providers need faster service delivery, funders need greater control, and patients need a seamless experience.
Switch263
Switch263 was created to bridge the gap between healthcare providers, medical aid funders and patients through a single, secure digital ecosystem.
Since launching in 2013, Switch263 has become Zimbabwe's leading healthcare switching platform, pioneering biometric healthcare verification and enabling real-time claims processing at national scale.
Today it powers millions of healthcare transactions, connecting more than 3,000 healthcare service providers, 18+ funders and over 1.5 million beneficiaries through one trusted network.
How It Works
When a patient visits a participating healthcare facility, Switch263 verifies their identity through biometric authentication and instantly confirms eligibility and benefit status.
Healthcare providers can then submit claims electronically through the platform, where they are securely routed to the appropriate funder for adjudication and payment processing.
Throughout the process, fraud, waste and abuse controls continuously monitor transactions to protect both providers and funders.
Why It Matters
- Faster patient service delivery
- Improved identity verification
- Reduced fraud and duplicate claims
- Real-time benefit validation
- Seamless provider and funder communication
- Secure national healthcare infrastructure
Core Modules
Five modules that carry a claim from the front desk to settlement.
Claims Washing
Ensures the accuracy and integrity of medical claims before submission. By detecting errors, inconsistencies and potential fraud, it helps providers and funders minimise claim rejections, reduce processing time and improve efficiency in the reimbursement process.
Authorisation
Streamlines the pre-approval process for medical procedures and treatments. It enables real-time verification and approval of healthcare services, so patients receive timely care while administrative delays and unnecessary costs fall away.
Electronic Remittance Advice
A secure, automated system for processing payments and explanations of benefits. Providers receive detailed electronic statements covering claim payments, adjustments and denials, which makes financial reconciliation far simpler.
Claims Module
Streamlines the claims process with biometrically verified, accurate submission and tracking. Automated adjudication and real-time status updates reduce the administrative burden for healthcare service providers.
Member Module
Real-time medical aid membership status and member validation, preventing fraud and confirming eligibility at the point of service. It handles enrolment of member fingerprints and biometric verification during visits, so only valid, registered members access care.
Integrations
The switch is integrated with the following administration systems.
2Cana
AfroCentric
HMS
Prognosis
Knowledge Objects
Sirius Online
Medicare
Allois HIS
Explore Switch263
Discover how Zimbabwe's healthcare ecosystem is becoming faster, safer and more connected. Prefer to talk it through first? Our team can walk you through how Switch263 fits what you already run. See the Architecture.